Anton, Nicholas Harreld

Anton, Nicholas Harreld is an individual health care provider with primary practice located at 500 Doyle Park Dr Ste G03, Santa Rosa CA 95405-4559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anton, Nicholas Harreld can be contacted via phone (707) 544-3411.

Contact Information

Primary practice address
500 Doyle Park Dr Ste G03 Santa Rosa CA 95405-4559
Phone: (707) 544-3411
Fax: (707) 544-0834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C36268 California

Profile Details

NPI number 1659364933
LBN Legal business name Anton, Nicholas Harreld
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jul 16th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659364933 NPPES
Other 00C362680 BLUE SHIELD OF CALIFORNIA
Other P00410327 BLUE SHIELD OF CALIFORNIA
MEDICAID 00C362680 BLUE SHIELD OF CALIFORNIA

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